| James J Jang, MD | |
|
1101 Medical Ctr. Blvd., Pediatric Er, Marrero, LA 70072 | |
| (504) 349-1554 | |
| (504) 349-1579 |
| Full Name | James J Jang |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1101 Medical Ctr. Blvd., Marrero, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477648012 | NPI | - | NPPES |
| 1047040 | Medicaid | LA | |
| 278312600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 28497 (South Carolina) | Secondary |
| 208000000X | Pediatrics | 025790 (Louisiana) | Primary |
| Entity Name | Convenient Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164422630 PECOS PAC ID: 1153306816 Enrollment ID: O20040618000886 |
| Entity Name | Lake Urgent Care Ascension Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912243122 PECOS PAC ID: 0244479095 Enrollment ID: O20130627000023 |
| Mailing Address | Practice Location Address |
|---|---|
| James J Jang, MD 1101 Medical Ctr. Blvd., Pediatric Er, Marrero, LA 70072 Ph: (504) 349-1554 | James J Jang, MD 1101 Medical Ctr. Blvd., Pediatric Er, Marrero, LA 70072 Ph: (504) 349-1554 |
Dr. Roselyn St Etienne, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4701 Westbank Expy Ste 7, Marrero, LA 70072 Phone: 504-582-9922 Fax: 504-582-9928 | |
Dr. Robert L. Guy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4225 Lapalco Blvd, Marrero, LA 70072 Phone: 504-391-7337 Fax: 504-398-7259 | |
Mrs. Oleitha Wilson-ruffin, M.D. Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 4225 Lapalco Blvd, Marrero, LA 70072 Phone: 504-391-7337 Fax: 504-398-7213 | |
Dr. Emilio J Saturno, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1111 Medical Center Blvd, Suite S650, Marrero, LA 70072 Phone: 504-349-6504 Fax: 504-349-6528 | |
Lindsay York Fantaci, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1111 Medical Center Blvd, Suite N803, Marrero, LA 70072 Phone: 504-934-8333 Fax: 504-934-8334 | |
Jude J Cope, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 4700 Wichers Dr Ste 307, Marrero, LA 70072 Phone: 504-509-5437 Fax: 504-309-9307 | |
Xiaoyun Shang, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 829 Barataria Blvd, Marrero, LA 70072 Phone: 504-368-7337 Fax: 504-368-7376 |